Comments on: Evidence-Based Medicine http://www.pediatricallergyindy.com/2009/04/19/evidence-based-medicine/ Pediatric Allergist Frederick E. Leickly - Indianapolis, Indiana Wed, 01 Feb 2012 20:04:37 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: fleickly http://www.pediatricallergyindy.com/2009/04/19/evidence-based-medicine/comment-page-1/#comment-127 fleickly Mon, 15 Jun 2009 15:55:13 +0000 http://leicklystory.wordpress.com/?p=291#comment-127 The 'erythrocyte sedimentation rate' ESR is a non-specific measure of inflammation. It tells us something is going on. You can see a high ESR with illnesses that are auto-immune with very active with inflammation. You can also see an elevated ESR with infection as well. In some instances there can be a high ESR due to the structure of the red blood cell. A common comparison is with an elevation in temperature- it tells us something is going on, but not exactly what. An allergist/clinical immunologist may be another specialty to consider especially with recurrent infection issues. FEL The ‘erythrocyte sedimentation rate’ ESR is a non-specific measure of inflammation. It tells us something is going on. You can see a high ESR with illnesses that are auto-immune with very active with inflammation. You can also see an elevated ESR with infection as well. In some instances there can be a high ESR due to the structure of the red blood cell. A common comparison is with an elevation in temperature- it tells us something is going on, but not exactly what.
An allergist/clinical immunologist may be another specialty to consider especially with recurrent infection issues.
FEL

]]> By: Colleen http://www.pediatricallergyindy.com/2009/04/19/evidence-based-medicine/comment-page-1/#comment-126 Colleen Mon, 15 Jun 2009 15:06:33 +0000 http://leicklystory.wordpress.com/?p=291#comment-126 I was wondering if you could tell me what an elevated sed rate could mean? I have posted on this blog before about my son who has had pneumonia 5 times. He is 16 months old and has a history of eczema, chronic nasal congestion, and has been diagnosed with reactive airway disease. His allergy testing has come back negative except for dust mites. He was just in the hospital at the end of may for pneumonia in the same spot RML, and was treated with augmentin and zithromax. He has now developed a fever again and his WBC count was over 15000, and his sedrate was elevated. We are on augmentin again(this would make the 11th time just on this). He was sent to childrens hospiatl in Peoria by ambulance with his last hospialization at the end of may, but know further testing was done. the pneumonia was treated and he was sent home. I feel that something is going on with this child, but can't really pin point what it is. I agree that asthma can cause you to be really sick at times, but could we be missing something else? He currently takes on a daily basis rhinocourt, singular, pulmicort nebs, claritin, benadryll as needed, and xopenex and ipratropium as needed. He currently has an appt. with Dr. Jalou set up for July, but I was not even sure this is where we should begin. I just want some answers, this kid is really suffering. Do you have any thoughts? Thank you for your time. Colleen I was wondering if you could tell me what an elevated sed rate could mean? I have posted on this blog before about my son who has had pneumonia 5 times. He is 16 months old and has a history of eczema, chronic nasal congestion, and has been diagnosed with reactive airway disease. His allergy testing has come back negative except for dust mites. He was just in the hospital at the end of may for pneumonia in the same spot RML, and was treated with augmentin and zithromax. He has now developed a fever again and his WBC count was over 15000, and his sedrate was elevated. We are on augmentin again(this would make the 11th time just on this). He was sent to childrens hospiatl in Peoria by ambulance with his last hospialization at the end of may, but know further testing was done. the pneumonia was treated and he was sent home. I feel that something is going on with this child, but can’t really pin point what it is. I agree that asthma can cause you to be really sick at times, but could we be missing something else? He currently takes on a daily basis rhinocourt, singular, pulmicort nebs, claritin, benadryll as needed, and xopenex and ipratropium as needed. He currently has an appt. with Dr. Jalou set up for July, but I was not even sure this is where we should begin. I just want some answers, this kid is really suffering. Do you have any thoughts?

Thank you for your time.
Colleen

]]>